N/A Completed N=302 Randomized Single-blind Health Services Research

I-ACT With Check Yourself

Adolescent Behavior

Source: ClinicalTrials.gov NCT02764190 ↗

Enrolled (actual)

302

Serious AEs

0.0%

Results posted

Nov 2019

Primary outcomePrimary: Number of Health Risk Behaviors — 2.23; 2.62 score on a scale

Summary

Adolescents have some of the highest rates of risk behaviors of all age groups and health behaviors developed in adolescence can persist into adulthood. These behaviors carry significant risks for subsequent disease, disability, and healthcare burden. Despite these risks, health risk screening in primary care is infrequently performed and results are rarely followed by targeted intervention. In response to the need for screening-linked interventions, our study team has developed a web-based, electronic Personalized Motivational Feedback tool which we refer to as "Check Yourself." Based on motivational interviewing, a technique to mobilize personal change, Check Yourself is designed to promote healthy choices for the multiple behaviors relevant to adolescents as well as to provide information to providers to promote discussions around health behaviors between providers and adolescents. Building on electronic health interventions, primary care providers can play an essential role in helping adolescents to make healthy behavior choices. Emerging evidence suggests that the consistency of preventive counseling can be increased through provider training and the provision of screening tools; yet, we know very little about the quality of such counseling, and if it impacts outcomes that are important to adolescent patients themselves. This study is a stepped-wedge, controlled trial comparing the effectiveness of an interactive adolescent-centered training for primary care providers (I-ACT) and Check Yourself to usual care. This study will take place in six pediatric practices. The purpose of this study is to determine whether this system of interventions (i.e., I-ACT, Check Yourself, and the summary report) is more effective than usual care in reducing health risk behaviors, improving adolescent motivation for health, and improving quality of care among adolescents receiving primary health care services.

Outcome Measures

Outcome	Result	p-value
PRIMARY Number of Health Risk Behaviors	—	—
PRIMARY Sweetened Beverage Consumption	—	—
PRIMARY Fruit and Vegetable Consumption	—	—
PRIMARY Physical Activity	—	—
PRIMARY Sleep	—	—
PRIMARY Alcohol Consumption (Frequency)	0.25; 0.25	—
PRIMARY Alcohol Consumption (Quantity)	0.20; 0.10	—
PRIMARY Marijuana Consumption	0.53; 0.14	—
PRIMARY Other Drug Consumption	0.02; 0.00	—
PRIMARY Depression	—	—
PRIMARY Seatbelt Use	—	—
PRIMARY Helmet Use	—	—
PRIMARY Texting While Driving	—	—
PRIMARY Condom and/or Birth Control Use	1.89; 2.00; 1.0; 1.0	—
PRIMARY Driving With Impairment	0.01; 0.02	—
PRIMARY Adolescent Satisfaction With Care	9.18; 9.23	—
PRIMARY Caregiver Satisfaction With Care	21.54; 21.47	—
PRIMARY Adolescent Perception of Patient-Centeredness	45.63; 45.63	—
PRIMARY Tobacco Use	—	—
SECONDARY Percent of Risk Behaviors Counseled on During Primary Care Appointment	43; 35; 36; 23	—
SECONDARY Number of Health Risk Behaviors	—	—
SECONDARY Sweetened Beverage Consumption	—	—
SECONDARY Fruit and Vegetable Consumption	—	—
SECONDARY Physical Activity	—	—
SECONDARY Sleep	—	—
SECONDARY Alcohol Consumption	—	—
SECONDARY Marijuana and/or Other Drug Consumption	—	—
SECONDARY Marijuana and/or Other Consumption	—	—
SECONDARY Depression	—	—
SECONDARY Seatbelt Use	—	—
SECONDARY Helmet Use	—	—
SECONDARY Texting While Driving	—	—
SECONDARY Condom Use and/or Birth Control Use	—	—
SECONDARY Driving With Alcohol Impairment	—	—
SECONDARY Interval Receipt of Care Questionnaire	—	—
SECONDARY Readiness to Change Ruler Questionnaire	—	—
SECONDARY Tobacco Use	—	—

Eligibility Criteria

Inclusion Criteria

Eligible adolescent participants will be 13-18 years of age and caregiver participants will be 18 years of age or older and able to understand English. Eligible participants will have an appointment (or have a child with an appointment) with a participating medical practice.

Exclusion Criteria

Adolescents will be excluded from the study if they do not meet age requirements, do not have an appointment with a participating provider at a PSPRN clinic, lack the means to complete follow-up interviews (i.e., have neither telephone nor internet access), have a sibling who has been/is being enrolled in the study or have previously participated in our previous trial comparing Check Yourself to usual care, and/or are not able to understand English.
Caregivers will be excluded from the study if they do not speak English; or if their child is not eligible or declines to participate in the study .

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02764190). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.